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Healthcare system in crisis due to corruption and mismanagement

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By Rathindra Kuruwita

Sri Lanka’s once highly-praised healthcare system is facing a severe crisis, and the root causes can be traced to corruption, nepotism, cronyism, and mismanagement, according to Professor Indika Karunathilake, the Secretary-General of the Asia Pacific Academic Consortium for Public Health (APACPH).

In a scathing assessment of the situation, Professor Karunathilake highlighted that these issues permeate every level of the healthcare system, ultimately leading to its failure. He expressed concern that multiple checks and balances that should identify and rectify problems have broken down, causing the system to collapse. This ongoing crisis has had severe consequences, including the forced departure of numerous healthcare professionals from the country.

Sri Lanka’s healthcare system has long been admired for its cost-effectiveness, with a per capita healthcare expenditure of approximately $400 per year, a fraction of what developed countries like the UK and the US spend. Dr. Ajith Amarasinghe, a Consultant Pediatrician, pointed out that despite this modest budget, the healthcare indices in Sri Lanka are comparable to those of wealthier nations. He emphasized that the current crisis cannot be solely attributed to the economic downturn, as the 2023 health budget is double that of 2021, even after accounting for depreciation.

One concerning aspect is the quality of drugs distributed in both government and private hospitals. Dr. Amarasinghe raised the issue of tarnishing the reputation of the healthcare system in a short period, attributing the blame to individuals who have overseen the system in recent years. He specifically mentioned former Minister Keheliya Rambukwella and his team, noting that Minister Rambukwella has since been removed from his position.

Dr. Chamal Sanjeewa, Chairman of the Professional Forum of Physicians on Medical and Civil Rights, lamented the dismantling of past healthcare achievements, such as maternal mortality rates and child health indices, which have seen a worrying decline.

Dr. Ananda Wijewickrama, President-Elect of the Sri Lanka Medical Association (SLMA), said that the current crisis as unprecedented.

Dr. Thenuwan Wickramasinghe of the Government Medical Officers Association (GMOA) said that a 40 percent increase in patients seeking care in government hospitals due to the inability to afford private healthcare. He underscored that the healthcare system continues to operate because of the dedication and resilience of its healthcare professionals.



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UPDATE: Flash flood on Nepal-Tibet border kills more than 100, with hundreds of tourists missing

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More than 100 people have been killed in Nepal and Tibet, and hundreds of tourists are missing, after a massive flash flood and mudslide

The missing tourists include more than 100 from India, 54 from the US, and 33 from the UK,  as well as more than 100 from Nepal itself, according to Nepal’s tourist board. The area is popular with pilgrims and trekker.

Dozens of police officers and army prtxonnel  are also missing, as well as power workers. My family was swept away in front of me, one woman tells us – she and her son survived by climbing to a rooftop

In Tibet, Chinese state media report three dead and 265 missing,  CCTV from Tibet shows a wall of water and mud hitting buildings at a border crossing.

Authorities initially thought an earthquake may have triggered a landslide – the US Geological Survey now says the sesimic energy was instead generated by a landslide.

(BBC)

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Advisory for High Waves for the sea areas extending from Colombo to Pottuvil via Galle, Matara and Hambantota

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Advisory for High Waves 
Issued by the Natural Hazards Early Warning Centre Issued at 03.30 p.m. on 26 August 2026 Valid for the period until 03.30 p.m. 27 August 2026

An advisory for high waves has been issued for the sea areas extending from Colombo to Pottuvil via Galle, Matara and Hambantota and naval and fishing communities engaged in activities in the aforementioned sea areas, as well as coastal communities living in the aforementioned nearshore areas, are advised to remain vigilant in this regard

The swell waves (about 2.0 m – 3.0 m) height (This is not for land area) may increase in the sea areas off the coast extending from Colombo to Pottuvil via Galle, Matara and Hambantota.  There is a possibility that near shore sea areas off the coast extending from Beruwala to Matara via Galle, may experience surges due to swell waves.

 

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We must create social awareness to ensure the physical and mental well-being of children with disabilities – PM

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Prime Minister Dr. Harini Amarasuriya stated that, given their particular vulnerability children with disabilities require protection, and stressed the need to foster social awareness to protect them from negative social influences while promoting their physical and mental well-being. She emphasized the need to implement awareness programmes for parents, teachers and other members of society towards this end.

The Prime Minister made these remarks on Tuesday [August 25]  while visiting and observing the National Institute of Special and Inclusive Education – Shishyodaya, located in Veniwelkola.

The purpose of the Prime Minister’s visit was to observe the institutional structure and gain an understanding of the areas that require further development.

The Prime Minister emphasized that a systematic mechanism should be established to transform the institution, which was established in 2019 outside the basic standards and plans for Inclusive Education, into an institution that provides quality education to children and fulfills the targeted objectives of inclusive education. She also proposed appointing a special committee to make the necessary recommendations in this regard.

The Prime Minister further stated that steps would be taken in coordination with the Ministry of Health to address the shortage of therapists and medical professionals required to provide clinical services to students at the institution. She also stressed that the maintenance of equipment and buildings should be carried out properly using the financial allocations provided for such purposes.

The Prime Minister further noted that finding sustainable solutions to the issues faced by the institution is essential, while immediate interventions should be made to address issues that can be resolved without delay. The welfare of the teachers serving at the institution was also discussed during the visit.

Member of Parliament Anura Panagoda, Chairman of the Homagama Pradeshiya Sabha Kasun Rathnayake, Secretary to the Ministry of Education, Higher Education and Vocational Education Nalaka Kaluwewa, ministry officials, parents and students were present.

[Prime Minister’s Media Division]

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